Latest blood test - advice please

[Mantras131]

I would welcome thoughts from the community on my latest blood tests please? I had these taken in August results via Medichecks.

I have Hashimotos and the bloods were taken first thing in the morning. Interestingly, my Thyroglobulin antibodies are slightly down from 362 in 2022 to 287 in 2024. Not sure if this means anything.

I am on 75 T4 and 20 T3 at the moment. I have had colon cancer (surgery and chemotherapy ) in the last year - so no idea if this is had an impact on my results. Many thanks in advance.

Ferritin 136 (30-332)

Folate – Serum 13.8 (>7)

Vitamin B12 – Active 98.4 (>37.5)

Vitamin D 55.6 (50-250)

TSH 0.013 (0.27 – 4.2)

Free T3 5.2 (3.1-6.8)

Free Thyroxine 17.0 (12-22)

Thyroglobulin Antibodies 287 (0-115)

Thyroid Peroxidase Antibodies 107 (0-34)

[Buddy195 Administrator]

Hi Mantras131, i hope you have recovered well from the cancer treatment. Are you experiencing any adverse symptoms related to Hashimotos?

I like my levels to be:

Vitamin D (100-150nmol/L)

Vitamin B12 (Total B12 at top of range or for Active B12 100 or above)

Folate (at least half way through range)

Ferritin (half way through range) Some point to 90-110ug as optimal.

Are you currently supplementing any key vitamins? I would look to improve vit D levels. Personally, I like to use a sublingual spray:

amzn.eu/d/fVrrCP8-

[Mantras131 in reply to Buddy195]

Thanks Buddy, its difficult to tell what is caused by what - but my energies are coming back so thats good. Thyroid-wise - I dont feel any worse (or better). My wound is still problematic and my CEA results are raised - so not so good. I have asked if there is a link between raised CEA and Hashimotos (no-one seems to know) but I have raised antibodies due to Hashi so I wouldnt be surprised if there is a link. I took my thyroid hormones all through chemo and oncologist was happy with that. All the best. x

[Buddy195 Administrator in reply to Mantras131]

Personally, I would look to improve Vit D as a first step. After this, you certainly have room to trial a slight increase in thyroid medication if you feel this might give your energy levels a boost. It’s best not to increase both Liothyronine and Levothyroxine at the same time. I like to go ‘low and slow’ when increasing- eg 12.5mcg Levo (alternate days at first) or adding 2.5mcg Lio daily. We always recommend retesting 6-8 weeks after making any changes.

[Mantras131 in reply to Buddy195]

Thanks Buddy, yes the recommendation was to increase the Vit D for 10 weeks so will start with that. Appreciate your reply.

[Brightness14]

I am sorry to hear about your operation. Just to help a little my mother had the same op years ago at the age of seventy four and lived to be 100 years old. I hope that you soon feel well.

[Mantras131 in reply to Brightness14]

That’s very kind, thankyou